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Author Question: The nurse is caring for a patient with TB who is being treated with capreomycin. During the ... (Read 49 times)

OSWALD

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on: Jul 23, 2018
The nurse is caring for a patient with TB who is being treated with capreomycin. During the assessment, the patient states that he has been a little dizzy lately, and he asks the nurse to repeat bits of the conversation multiple times.
 
  Why would this concern the nurse?
  a. Dizziness may indicate head congestion from the TB.
  b. Hearing loss is associated with capreomycin toxicity.
  c. The patient displays worsening symptoms of TB.
  d. This is an indication that the patient should be checked for urinary retention.

Question 2

The nurse is providing care to a patient with tuberculosis who is taking ethambutol (Myambutol). Which statement by the patient indicates a correct understanding of the effects of ethambutol?
 
  a. Dizziness, drowsiness, and decreased urinary output are common with this drug, but they will subside over time.
  b. Constipation will be a problem, so I will increase the fiber in my diet.
  c. I will need to have my eyes checked periodically while I am taking this drug.
  d. This medication may cause my bodily secretions to turn bluish green.


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jaykayy05

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Capreomycin may cause injury to the eighth cranial nerve, which results in hearing loss and disturbance of balance.
Dizziness does not indicate head congestion, but it may indicate a disturbance of balance.
No evidence indicates that the patient's symptoms are worsening.
Nothing indicates that urinary retention has occurred.

Answer to Question 2

ANS: C
The only significant adverse effect of ethambutol is optic neuritis. Patients should be advised to have their eyes checked periodically.
Dizziness, drowsiness, and decreased urinary output are not listed as adverse effects.
Gastrointestinal (GI) upset may occur, but constipation is not listed as an adverse effect.
Ethambutol does not turn the urine bluish green.


OSWALD

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


jaykayy05

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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